Provider Demographics
NPI:1174041099
Name:LOVE AND PEACE BHS, LLC
Entity Type:Organization
Organization Name:LOVE AND PEACE BHS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:702-626-3939
Mailing Address - Street 1:2225 E FLAMINGO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5126
Mailing Address - Country:US
Mailing Address - Phone:702-626-3939
Mailing Address - Fax:
Practice Address - Street 1:2225 E FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5126
Practice Address - Country:US
Practice Address - Phone:702-626-3939
Practice Address - Fax:702-626-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health